Nutritional treatment of advanced CKD: twenty consensus statements

被引：128

作者：

Cupisti, Adamasco ^{[1
]}

Brunori, Giuliano ^{[2
]}

Di Iorio, Biagio Raffaele ^{[3
]}

D'Alessandro, Claudia ^{[1
,4
]}

Pasticci, Franca ^{[4
,5
]}

Cosola, Carmela ^{[6
]}

Bellizzi, Vincenzo ^{[7
]}

Bolasco, Piergiorgio ^{[8
]}

Capitanini, Alessandro ^{[9
]}

Fantuzzi, Anna Laura ^{[10
]}

Gennari, Annalisa ^{[4
,11
,12
]}

Piccoli, Giorgina Barbara ^{[13
,14
]}

Quintaliani, Giuseppe ^{[15
]}

Salomone, Mario ^{[16
]}

Sandrini, Massimo ^{[11
,12
]}

Santoro, Domenico ^{[17
]}

Babini, Patrizia ^{[18
]}

Fiaccadori, Enrico ^{[19
]}

Gambaro, Giovanni ^{[20
]}

Garibotto, Giacomo ^{[21
,22
]}

Gregorini, Mariacristina ^{[23
]}

Mandreoli, Marcora ^{[24
]}

Minutolo, Roberto ^{[25
]}

Cancarini, Giovanni ^{[11
,12
]}

Conte, Giuseppe ^{[25
]}

Locatelli, Francesco ^{[26
]}

Gesualdo, Loreto ^{[6
]}

机构：

[1] Univ Pisa, Dipartimento Med Clin & Sperimentale, Via Roma 67, I-56126 Pisa, Italy

[2] APSS, SC Multizonale Nefrol Dialisi, Trento, Italy

[3] UOC Nefrol, PO A Landolfi, Solofra, AV, Italy

[4] ANDID Associaz Nazl Dietisti, Verona, Italy

[5] USL Umbria 1, Dipartimento Med, Perugia, Italy

[6] Univ Bari Aldo Moro, Sez Nefrol Dialisi & Trapianti, DETO, Bari, Italy

[7] Univ San Giovanni Dio Ruggi dAragona Salerno, Dialisi Trapianto Azienda Osped, Div Nefrol, Salerno, Italy

[8] ASL Cagliari Consultant, Nefrol & Dialisi, Cagliari, Italy

[9] ASL Toscana Ctre, SOS Nefrol Pistoia, Florence, Italy

[10] AUSL Modena, Nutr & Dietet Aziendale, Modena, Italy

[11] ASST Spedali Civili, UO Nefrol, Brescia, Italy

[12] Univ Brescia, Brescia, Italy

[13] Univ Torino, Dipartimento Sci Clin & Biol, Turin, Italy

[14] Ctr Hosp Mans, Le Mans, France

[15] Azienda Osped Perugia, Nefrol & Dialisi, Perugia, Italy

[16] ASL TO5, Nefrol & Dialisi, Chieri, Italy

[17] Univ Messina, UOC Nefrol & Dialisi, Dipartimento Med Clin & Sperimentale, Messina, Italy

[18] ANED Onlus, Milan, Italy

[19] Univ Parma, Unita Fisiopatolo Insufficienza Renale, Parma, Italy

[20] Univ Cattolica Sacro Cuore, Dipartimento Med, Rome, Italy

[21] Univ Genoa, DIMI, Genoa, Italy

[22] IRCCS, AOU San Martino IST, Genoa, Italy

[23] USL Reggio Emilia, SC Nefrol Dialisi Arcispedale S Maria Nuova Azien, Reggio Emilia, Italy

[24] Azienda USL Imola, Nefrolo Dialisi Osped S Maria Scaletta, Imola, Italy

[25] Univ Campania Luigi Vanvitelli, Div Nefrol, Naples, Italy

[26] Osped Manzoni, ASST, SC Nefrol & Dialisi, Lecce, Italy

来源：

JOURNAL OF NEPHROLOGY | 2018年 / 31卷 / 04期

关键词：

CKD; Nutritional treatment; Diet; Dialysis; Kidney transplant; Chronic renal failure; CHRONIC KIDNEY-DISEASE; LOW-PROTEIN-DIET; STAGE RENAL-DISEASE; METABOLIC-ACIDOSIS; HEMODIALYSIS-PATIENTS; ADAPTIVE RESPONSES; INGESTIVE BEHAVIOR; SODIUM RESTRICTION; DECISION-MAKING; UREMIC PATIENTS;

D O I：

10.1007/s40620-018-0497-z

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The Italian nephrology has a long tradition and experience in the field of dietetic-nutritional therapy (DNT), which is an important component in the conservative management of the patient suffering from a chronic kidney disease, which precedes and integrates the pharmacological therapies. The objectives of DNT include the maintenance of an optimal nutritional status, the prevention and/or correction of signs, symptoms and complications of chronic renal failure and, possibly, the delay in starting of dialysis. The DNT includes modulation of protein intake, adequacy of caloric intake, control of sodium and potassium intake, and reduction of phosphorus intake. For all dietary-nutritional therapies, and in particular those aimed at the patient with chronic renal failure, the problem of patient adherence to the dietetic-nutritional scheme is a key element for the success and safety of the DNT and it can be favored by an interdisciplinary and multi-professional approach of information, education, dietary prescription and follow-up. This consensus document, which defines twenty essential points of the nutritional approach to patients with advanced chronic renal failure, has been written, discussed and shared by the Italian nephrologists together with representatives of dietitians (ANDID) and patients (ANED).

引用

页码：457 / 473

页数：17

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